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Organization

GOOD LIFE MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VANESSA DE LEON LCPC, BC-DMT (OWNER)
(630) 484-0074
Entity
Organization

Contact information

Practice address
910 WASHINGTON ST APT 1B, EVANSTON, IL 60202-2238
(630) 484-0074
Mailing address
910 WASHINGTON ST APT 1B, EVANSTON, IL 60202-2238
(630) 484-0074

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor

Other

Enumeration date
11/15/2023
Last updated
06/02/2025
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